IAAB #RejectHate Incident Form
If you have witnessed or experienced bullying or harassment, please complete the form below. By doing so, you help ensure that we have an understanding of the occurrence and impact of hate, as well as how we can address it as an organization and community.
Your First Name
Your Last Name
Date Incident Occurred
Where did this incident occur?
Technical School, College, or University
Location of Incident (include city and state)
Please describe the incident.
What was your role in the incident?
What was the role of bystanders, if any?
Did you report this incident? If so, to whom?
14-18 (high school age)
18-22 (college age)
Sexual Orientation (optional)
Race or Ethnic Identity (optional)
SWANA (non-Iranian South West Asian or North African)
Black or African American
Native Hawaiian or Pacific Islander
How may we support you?
Anything else you'd like to share?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service